Dereje, Derbew D (2014) Sedation Management Practices in Medical and Surgical Intensive Care Unit in Tikur Anbessa Specialized Hospital, 2013/2014,Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
![[img]](http://thesisbank.jhia.ac.ke/style/images/fileicons/application_pdf.png) |
PDF (Sedation Management Practices in Medical and Surgical Intensive Care Unit in Tikur Anbessa Specialized Hospital, 2013/2014,Addis Ababa, Ethiopia)
dere.pdf - Accepted Version Restricted to Repository staff only Download (1MB) | Request a copy |
Abstract
Background: sedative medications are widely used in intensive care units to achieve patient comfort and tolerance of the intensive care unit environment, and to eliminate pain, anxiety, delirium and other forms of distress. Objective: To evaluate sedation management practices in medical & surgical ICU in TASH, February 3-18 2014, Addis Ababa, Ethiopia. Methods: Cross sectional quantitative study was conducted from February 3-18 2014. Data was collected from all physicians, residents, nurses who were working in TASH ICU. Among 50 health professionals. Result: Out of the participants 29(58%) were female and 21(42%) were male. Nineteen (38.0%) responded Sedation management is currently practiced but 31(62.0%) are not. There were 33 (66.0%) responded that there were personal or systematic barrier in sedation management practice while 17(34.0%) were not. There was 27(54.0%) uses Benzodiazepines, 8(16.0%) uses Opoids, 7(14.0%) uses anesthetic Agents, 7(14.0%) uses Barbiturates. And among this sedation agent 32(64.0%) uses specific drug like Diazepam, 7 (14.0%) uses Chlorpromazine, 6 (12.0%) uses Thiapentone and 4 (8.0%) uses Ketamine. Seven (14.0%) responded that there were sedation protocols on patient sedation management practice but 43 (86.0%) are not. Discussion and Conclusions This study shows that 38.0% currently used sedation management practice. Contrarily A UK survey conducted in 2008, 78% are used. Relatively not currently practiced. The effect of barriers on sedation management practice identified by other researchers in Australian and New Zealand Intensive Care Units 2009, was, patients were unstable neurological status, respiratory status, cardiovascular status, and staff factors high workload. Our study shows 66% of the barriers included; working experience, lack of attended educational classes on sedation management practice, scarcity of sedating agent and lastly, their previous sedation management practice. In German 2006 survey shows Propofol & Midazolam 83% was used most frequently for sedation. The practice in our ICU is differs greatly from these. Diazepam 64% used for commonly than chlorpromazine 14% and or Thiapentone 12%. Concerning sedation management protocols 14 % used. A German survey conducted in 2007 revealed that 46% of hospitals used, and the Canadian survey in 2006 reported that 29% of ICUs used. so when we compare others countries our ICU decreased utilization of sedation protocols.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 06 Jul 2018 09:32 |
| Last Modified: | 06 Jul 2018 09:33 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6905 |
Actions (login required)
 |
View Item |